| Doctor Name: | MRS. KERRI RYDER |
| NPI Number: | 1013090430 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PMHCNS |
| License Number: | RN225383 |
| Business Practice Address: | 77 E Merrimack St Unit 1 Lowell, MA - 018521251 |
| Business Phone Number: | 9784536800 |
| Business Fax Number: | 9784581428 |
| Mailing Address: | 77 E Merrimack St, Unit 1 LOWELL |
| State: | MA |
| Postal Code: | 018521251 |
| Phone Number: | 9784536800 |
| Fax Number: | 9784581428 |
| NPI Enumeration Date: | 10/21/2006 |
| NPI Last Update Date: | 01/08/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SP0807X |
| License Number: | RN225383 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Psych/Mental Health, Child & Adolescent |
| Taxonomy Definition: | |